| NPI | 1659165967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: PA PC017103) |
| Additional Taxonomies | 225600000X Dance Therapist |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-04-09 |